Several studies in patients with mild cognitive impairment (MCI) have shown that increased activity in the hippocampus during pattern separation tasks in the MR scanner is associated with worse cognition and stronger accumulation of amyloid-ß over time. Pharmacological treatment of this hyperactivity reduced hyperactivity and improved memory, indicating a potential therapeutic target. However, pharmacological interventions have their disadvantages and limitations including side effects, reservations against medication, and non-response. A potential alternative might be real-time fMRI neurofeedback, with which participants can learn to voluntarily ‘control’ region specific brain activity.
In a recently finished study, we used real-time fMRI based neurofeedback to reduce hippocampal hyperactivity and thereby improve memory. We extracted all mental strategies that participants have used to downregulate hippocampal activity. In a new study, we will use these mental strategies to examine whether downregulation would also be possible without using neurofeedback.